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General NPI Number Information
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NPI Number | 1255618385
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Entity Type | Organization
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Legal Business Name | LABIC PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 108 AUTOMOTIVE BOULEVARD
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City | ELKTON
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State | MD
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Zip | 21921
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Country | US
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Telephone | 443-207-0574
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Fax |
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Provider Business Mailing Address
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Address Line | 108 AUTOMOTIVE BLVD
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City | ELKTON
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State | MD
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Zip | 21921-6374
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Country | US
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Telephone | 443-207-0574
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Fax |
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Authorized Official
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Title or Position | CHIEF CONSULTING PHARMACIST
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Name | MISS CHRISTIANA OGUNREMI
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Credential | B.SC RPH
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Telephone | 443-207-0574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RP045805L
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License Number State | PA
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